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A survey to determine the extent of previous symptoms and surgery on patients presenting with nasal polyps

Published online by Cambridge University Press:  29 June 2007

D. U. Schumacher*
Affiliation:
Department of Otolaryngology, Southampton University Hospital NHS Trust, Southampton, UK
C. J. Randall
Affiliation:
Department of Otolaryngology, Southampton University Hospital NHS Trust, Southampton, UK
*
Address for correspondence: Dr med. D. U. Schumacher, Department of Otoalryngology, Southamptom University Hospital NHS Trust, Tremona Road, Southampton SO9 4XY.

Abstract

The aim of our study was to investigate the prevalence of surgery on the nose prior to first time diagnosis of nasal polyps. We interviewed 60 patients who presented to the ENT Department at the Royal South Hants Hospital Southampton and were diagnosed as suffering from nasal polyps for the first time. Patients who suffered from cystic fibrosis or known primary ciliary dyskinesia were excluded.

The average length of time of nasal blockage as the main symptom prior to the diagnosis of nasal polyps was less than two years. Out of the 60 patients six (10 per cent) had had previous nasal surgery. Out of these six patients, only four patients had a previous procedure on the nose that could be considered to be related to the later diagnosis of nasal polyps. Only one patient had had radiological investigation of his sinuses in the past.

We conclude that polypoid nasal disease is a de novo diagnosis with a relatively short history in the majority of patients and not preceded by a long history of ENT investigations nor surgery on the nose.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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References

Bachert, C. (1995) Die Schleimhaut der oberen Atemwege-Zur Pathophysiologie der Entzündung. European Archives of Oto-Rhino-Laryngology (suppl 1): 202.Google Scholar
Braun, J. J., Haas, F., Conraux, C. (1992) La Polypose Nasosinusienne. Annales Otolaryngologie 109: 189199.Google Scholar
Drake-Lee, A. B. (1987) Nasal polyps. In Scott-Brown's Otolaryngology, 5th Edition Vol Rhinology (MacKay, I. S., Bull, T. R. and Kerr, A. G., eds.), Butterworths, London, pp 146147.Google Scholar
Drake-Lee, A. B. (1991) The value of medical treatment in nasal polyps. Journal of Clinical Otolaryngology 16: 237239.CrossRefGoogle ScholarPubMed
Drake-Lee, A. B., McLaughan, P. (1982) Clinical symptoms, free histamine and IgE in patients with nasal polyps. International Archives of Allergy and Applied Immunology 69: 268271.CrossRefGoogle Scholar
Hilka, M. B., Koch, T., Laszig, R. (1992) Späergebnisse nach endonasaler Siebbeinoperation unter besonderer Berücksichtigung der polypösen Sinusitis. HNO 40: 165169.Google ScholarPubMed
Keith, P. K., Conway, M., Evans, S., Wong, D. A., Jordana, G., Pengelly, D., Dolovick, J. (1994) Nasal polyps: effect of seasonal allergen exposure. Journal of Allergy and Clinical Immunology 93: 567574.CrossRefGoogle ScholarPubMed
Lund, V. J. (1995) Diagnosis and treatment of nasal polyps. British Medical Journal 311: 14111414.CrossRefGoogle ScholarPubMed
Mygind, N. (1990) Nasal polyposis. Journal of Allergy and Clinical Immunology 86: 827829.CrossRefGoogle ScholarPubMed
Tos, M., Sasahi, Y., Ohnishi, R., Larsen, P., Drake-Lee, A. B. (1992) Pathogenesis of nasal polyps. Rhinolog 14: 181185.Google ScholarPubMed